peratonWashington, DC
Remote Medical Claims Reviewer & Fraud Investigator
Remote Medical Claims Reviewer & Fraud Investigator
Remote Medical Claims Reviewer & Fraud Investigator
peratonWashington, DC
7 days ago
Claims Adjusters, Examiners, and InvestigatorsFraud Examiners, Investigators and AnalystsInsurance Underwriters
All Other Insurance Related ActivitiesClaims AdjustingPharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds
Apply for this role →Safe Guard Services (SGS), a subsidiary of Peraton, is seeking a Medical Reviewer to conduct medical record reviews and apply clinical judgment to claim payments. Telework is available from the contiguous United States.
The role involves analyzing medical claims data, identifying issues, and supporting fraud investigations. You will interact with external agencies and develop cases for corrective actions.
Also on the board Same function, level within a rung
Level
Junior
Location
Washington, DC
Occupation
Claims Adjusters, Examiners, and Investigators
Industry
All Other Insurance Related Activities
Posted
7 days ago